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                                            210.252.1  Sanitation Inspection
                               
                                            
                                
                                        
                                            Compliance
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                                            210.252.1.  Fire/Safety Inspection
                               
                                            
                                
                                        
                                            Compliance
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                                            210.254.1  Notice of Parental Responsibility
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.020 (5)  CRU or Family Care Safety Registry (FCSR) on file
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.050 (1)(A)  Caregivers' provide care conducive to health and safety of children.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.050 (1)(C)-A  Prior to starting work, caregivers have read rules per signed statement
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.050 (1)(C)-B  Caregivers' signed statements on file
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.050-D  Ratio according to NPR (statute)
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.050-E  Discipline according to NPR (statute).
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.060 (1)(A) and (9)  Communicable diseases reported to parents and local health department as required.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.060 (1)(B)-B  Caregivers use proper handwashing techniques as required, using soap and warm, running water
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.060 (1)(B)-C  Caregivers teach and require children to use proper handwashing techniques at appropriate times using soap and warm, running water.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.060 (1)(C)  Caregivers shall not work when ill. 
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.060 (1)(D)  Caregivers' physical assessment reports on file as required
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.060 (1)(E)  No smoking or tobacco products in any child care space while children are in care
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.060 (10)(A)  Medication administered only with dated, written permission of parent, stating the length of time medication may be given.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.060 (10)(B)  Prescription and nonprescription medication in original container; labeled with child's name, physician's name, and directions for administration (including times and dosage)
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.060 (10)(C) and (D)  Medication inaccessible to children
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.060 (10)(E)  Medication refrigerated as required
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.060 (10)(F)  Unused medication disposed of immediately or returned to parent when no longer needed. 
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.060 (10)(G)  Date, time, quantity and name of person giving medication recorded promptly and filed in child's record
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.060 (11)-1  Parent notified immediately
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.060 (11)-2  Parent's written emergency instructions followed.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.060 (11)-3  Accident or injury documented with date, time, circumstances, signature of caregiver and supervisor.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.060 (11)-4  Copy of accident or injury document and necessary explanation given to parent the day of the accident or injury
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.060 (11)-5  Copy of accident or injury document filed in child's record
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.060 (2) and (4)  Children's physical assessment reports on file as required
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.060 (3)  Children's immunization requirements met
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.060 (5)  Children observed for contagious diseases/ other signs of illness on arrival and throughout each day
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.060 (6)  Parent/guardian contacted when signs of illness are observed.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.060 (7)  Child sent home when required by symptom(s) of illness; parent contact recorded and filed
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.060 (8)  Ill child isolated/caregiver in close proximity until parent arrives.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.070 (1)(A)(1)  Child admitted and dismissed by caregiver
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.070 (1)(A)(2)  Napping children shall be seen/heard.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.070 (1)(A)(3)  Alert to needs of thirst, hunger, diaper change, agression by other children and attention
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.070 (1)(D)  Animals pose no threat to the health or safety of children in care.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.070 (1)(E)  Children monitored in bathroom.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.070 (1)(F)(1)-1  Surface is safe, waterproof and washable.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.070 (1)(F)(1)-2  Diapering area located so caregiver can supervise group of children
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.070 (1)(F)(2)  One diapering surface in infant/toddler unit for each group of 8 infants/toddlers and each group of 16 two-year olds
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.070 (1)(F)(3)  Diapering surface in preschool unit if child(ren) not toilet trained
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.070 (1)(F)(5)  Parent/caregiver agree on when to begin toilet training.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.070 (1)(F)(6)  Extra clothing available for children
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.070 (1)(G)  Facility responsible for assuring meals served according to nutrition standards
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.070 (1)(I)(1)  Kitchens not used for play activities unless part of the supervised learning program.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.070 (1)(I)(2)  Kitchens not used for napping or as passageways for children
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.070 (1)(I)(3)  Kitchens separated from other areas by walls or partitions at least 36" high.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.070 (1)(I)(4)  No animals in food preparation or food storage areas.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.080 (2)(D)  Outside doors not locked
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.080 (5)  Fire/tornado drills conducted/recorded
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.080 (5)(A)  Evacuation/emergency plan posted
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.090 (1)  Clean, no insects, spiders, rodents.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.090 (1)(B)  Toys sanitized.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.090 (1)(D)  Personal items labeled with childs name
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.090 (2)(A) and (B)  Bathrooms clean and odor free; in working order; convenient for use
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.090 (2)(C)  Soap, paper towels or air dryer, toilet paper accessible
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.090 (2)(D)  Potty chair emptied, cleaned and sanitized after each use
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.090 (2)(E)  Bathrooms enclosed with full walls and solid doors
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.090 (3)(B)  Diapering creams, powders or other products approved or supplied by the parent/labeled with the child's name
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.090 (3)(C)  Diapering surface sanitized after each use
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.090 (3)(D)  Diapers and wet clothing changed promptly when soiled or wet. 
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.090 (3)(E)  Diapers discarded into airtight container and removed daily; cloth diapers in airtight bags, removed daily
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.090 (3)(F)-5  Diapering/handwashing area separate from food service area
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.090 (4)(A)  Catered food from approved source
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.090 (4)(B)  Sufficient equipment in kitchen
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.090 (4)(D)-G  Kitchen floor approved surface
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.090 (4)(D)-I  Food items covered/packaged/protected from contamination
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.090 (5)  Proper storage and service
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.090 (8)  Adequate refuse disposal and storage
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (1)  Premises safe, suitable.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (1)(A)  Children shall have no access to unapproved areas.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (1)(B)  Handrails and guardrails as required. spacing at bars no more than 3 1/2".
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (1)(C)  Approved safety gates and doors as required.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (1)(D)  Hazardous material(s) inaccessible to children and stored to prevent cross-contamination of food and food related items.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (1)(E)  Weapons/ammunition stored in locked cabinet or closet.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (1)(F)  Walls, ceilings, floors in good condition and easily cleaned.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (2)(A)  Adequate lighting.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (2)(B)  Room temperature
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (2)(C)  Working telephone available.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (2)(D)  Emergency numbers posted
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (2)(E)(3)  If in permanent residence, and more than 10 children, child care area separate from living quarters.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (2)(E)-1  45 square feet usable floor space per infant/toddler
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (2)(E)-5  35 square feet usable floor space per preschool/school-age child.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (2)(F)(1)-2  Floor covered with material that can be cleaned
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (2)(F)(1)-3  Carpets/rugs spot cleaned when soiled.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (2)(F)(1)-4  Carpets/rugs sanitized when contaminated with body fluids
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (2)(F)(2)  If more than 20 children or more than 4 infants/toddlers, play, sleeping and bathroom space separated from older children by floor to ceiling walls
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (2)(F)(3)-7  No more than 24 infants/toddlers per room
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (2)(F)(3)-8  Stable partitions at least 4' high used to separate I-T and 2-year old groups within a room.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (2)(F)(4)  No more than 8 infants/toddlers or 16 two-year olds in a group
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (3)(A)  Flush toilet/adjacent handwashing sink for every 20 preschool/school-age children
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (3)(C)  No locks or latches for children below first grade
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (3)(D)  Separate bathroom/stall for caregivers if over 50 children
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (3)(E)  Separate girls and boys bathroom when more than 20 children including school-age
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (3)(F)-5  Potty chair, junior commode or adapter in bathroom for every 4 children being trained
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (3)(F)-6  For infants/toddlers and children not toilet trained, one toilet and one adjacent handwashing sink available for every 24 children in an infant/toddler unit.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (4)(A)-1  Outdoor play area on or adjoining property
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (4)(A)-2  Fenced if more than 10 children or to protect from hazard.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (4)(A)-3  Fence is at least 42" high
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (4)(A)-4  Openings in fence no greater than 31/2". 
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (4)(B)  Play area 75 square feet per child for one-third capacity/minimum 750 square feet
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (4)(C)  Play area safe, well maintained and free of hazards; proper drainage
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (4)(D)  Impact absorbent materials in fall zone for any equipment over 24" and higher
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (4)(E)  Infant/toddler outdoor play space separate area or used at different time from older children (if more than 20 children or more than 4 infants/toddlers).
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (4)(F)  Swimming and wading pools fenced, filtered, gate locked, treated, cleaned and maintained 
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (4)(G)  Play equipment well maintained, safely constructed, free of sharp, loose, pointed parts; stationary equipment anchored
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (4)(H)  No part of play equipment from which child can fall exceeds 6'.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (5)(A)-1  Individual mat, cot or bed with individually assigned sheet and blanket for each child who naps.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (5)(A)-2  Mats appropriate size, non-absorbent, use only on carpet, washed and sanitized weekly or before used by another child.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (5)(B)  Bedding laundered weekly or when soiled and before use by another child
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (5)(C)  At least a 2' aisle on one long side of all sleeping equipment
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (5)(D)  Individual crib/playpen, no stacked cribs, no mats for infants, mats for toddlers with parental consent
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (5)(D)(1)  Cribs/playpen rail spokes no more than 23/8" apart
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (5)(D)(2)-7  Crib mattress/playpen sized properly, waterproof, in good condition clean and dry
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (5)(D)(2)-8  Sheets and covers changed when soiled or wet.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (6)  Sufficient chairs and tables for meals and activities
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (7)-10  Indoor play equipment provided; clean, in good condition/safe
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.100 (7)-11  Toys, parts of toys, or other materials do not present a choking threat
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.110 (1)(A)  Written parental consent
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.110 (1)(B)  Parents informed
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.110 (1)(D)  Seat belt/child restraint device in use in accordance with missouri law
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.110 (1)(E)  Identifying information in vehicle
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.110 (1)(F)  Children seated while vehicle moving
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.110 (1)(G)-F  Children enter and leave vehicle safely
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.110 (1)(G)-G  Children not left unattended
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.110 (1)(H)  Head counts taken as required
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.110 (2)  Licensed driver 18 years of age or older.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.110 (3)-J  Vehicle licensed in accordance with missouri law
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.110 (3)-K  No transportation in camper, trailer, back of trucks.
                               
                                            
                                
                                        
                                            Compliance
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                                            UC19 CSR 30-60.120 (1)-A  Admitting procedure for each child in care with plan for ill children and emergency medical care.
                               
                                            
                                
                                        
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                                            UC19 CSR 30-60.120 (1)-D  Special care plan on file for child with special health needs identified through a physical assessment by a qualified medical source.
                               
                                            
                                
                                        
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                                            UC19 CSR 30-60.120 (1,2 and 4)  Individual file with required information for each child. (enrollment form, immunizations, medical)
                               
                                            
                                
                                        
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                                            UC19 CSR 30-60.120 (6)  Required records filed in an unlocked place known to caregivers; accessible for inspection by the SCCR; kept on premises during operating hours.
                               
                                            
                                
                                        
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                                            UC19 CSR 30-60.120-C  Notice of parental Responsibility signed by parent and retained in facility files. (Statute)
                               
                                            
                                
                                        
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                                            UC20 CSR 30-60.060 (1)(D)(3)  Caregivers' TB test results on file as required.
                               
                                            
                                
                                        
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